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MORE - Dosgames 2.0 (Software Company)(1994).iso
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register.doc
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Text File
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1994-09-01
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2KB
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49 lines
Registration Form
Bert's Dinosaurs 3.0
Name____________________________________________________________
Address_________________________________________________________
City_______________________________________State_____Zip________
Disk size desired: 5 1/4 in._______ 3 1/2 in._______
Registration fee . . . . . . . . . . . . . . . $20.00 __________
Registration fee (Outside the USA) . . . . . . 30.00 __________
Borland C++ program code . . . . . . . . . . . 20.00 __________
Additional program ( ) . . . 5.00 __________
Additional program ( ) . . . 5.00 __________
Additional program ( ) . . . 5.00 __________
Additional program ( ) . . . 5.00 __________
Shipping . . . . . . . . . . . . . . . . . . . ___2.00___
Total enclosed . . . . . . . . . . . . . . . . __________
Method of payment: Check or MO______ MasterCard______ Visa______
Account number____________________________ Expir. date__________
Signature (necessary)___________________________________________
How did you receive your copy of this program?__________________
________________________________________________________________
Suggested improvements__________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Bert's Dinosaurs 3.0 is a software product of
Theron Wierenga
P.O. Box 595
Muskegon, MI 49443